Sunday, December 13, 2009

TREVS STATUS



Trev is now 3 1/2 months old. His due date was December 5th, as you all know he had different plans. Trev now weighs just over 8 pounds and he is doing very well. He has now been home for 1 month and continues to grow. We still have tons of follow up doctors appointments, it seems that we are in there at least once per week. It also seems that there is someone within the medical staff at our home at least once a week to check up on him. When you have a preemie they keep pretty close tabs on them. The other day, home care services was at our home to give Trev a injection to prevent RSV. It is sad to see the little guy get a shot, cry for about 5 seconds and then he is fine. He has received so many shots, IV's, pokes, blood transfusions that he actually handles a shot as if he were an adult. I could not even begin to try and count how many shots that he has received in his short time here on earth. Reese is crazy about Trev, she cannot keep her hands off of him. She is very excited to have a baby brother that she can hold.

Miraculously, Trev is producing Red Blood Cells at a normal rate! Our last visit to the Hematologist, Trevs blood test showed that he was a little Anemic, but producing RBC's at a rapid rate! It is a matter of continued tests and follow ups to assure that his body will regulate all of its required functions. So far, he is on the right track and doing very well

Sunday, December 6, 2009

THE MOMMAS PERSPECTIVE





Wow! I've forgotten what having a little baby at home is like. Not that Drake is ready to leave for college anytime soon (even preschool) but it's been long enough with no diapers, bottles or midnight feedings (3AM, 6AM...) I forgot how time consuming a new baby is! Especially when the baby is connected by a five foot long cord to a machine that beeps with every movement and sigh. There have been many nights I've felt like I'm sleeping in a spaghetti bowl with all the wires and cords everywhere (yes he sleeps with us and will until he's 18 or so, ok maybe not but at least for the next few months, quite a few). My mom bought us a little 'co-sleeper bed' kind of a bassinet that works great for my peace of mind and still safe for him.
I'm not sure where to start so I'll just start at the beginning. First off I want to thank my incredible husband for starting this blog, it began as his coping mechanism and has turned out to be quite the inspiration and amazing story for many of you come to find out. To be honest I had almost next to nothing to do with it and I am very proud of my Davey for doing such a great job! Nonetheless I wanted to contribute MY perspective of these crazy last few months and the journey of my special, beyond words, Trevy.
Dave and I are extremely blessed to be able to have children so easily and it has required not much more than talking about it before there are two lines on a pregnancy test. I thank my Father in Heaven daily for that amazing capability that has come with such ease for us. Especially with Trev he was our "not really trying/hurrying to get pregnant, but if it happens it happens baby".
For some reason I thought this 3rd time around it would take awhile to get pregnant and was ok with that (my intuition was very off here). Well what do you know he was our quickest of all, only two weeks it took to conceive our little miracle boy. I am also very blessed in the regard I don't get very sick with pregnancies but something was different about this one this time around and I could never put my finger on just what it was (or going to be). It's hard to put into words exactly but I knew from the get go something was different. Not physically because nothing was wrong or physically different at first but in retrospect "something" (someOne) was preparing me for something because there was an almost nagging weird feeling in the back of my mind about this pregnancy long before anything was actually wrong. Some may say that's crazy but I know and believe that beyond a shadow of a doubt especially after what happened happened.
Fifths disease or Parvovirus B19, same thing. I have an incredibly strong (to say the least) love/hate relationship with those words/sickness. It all started when we were up in The Uintas and we noticed Drake (who had what I thought was a cold, I had what I thought was a cold too) also had really "rosy" cheeks I figured it was windburn but later noticed a rash on his back. He seemed fine other that a runny nose but I knew a rash was NOT good for me during a pregnancy and took him to the doctor the next morning.
Sure enough after one doctor told me he just had hives and I said,” no that’s not hives, I need another opinion”, a doctor asked me, "have you ever heard of fifths disease or slap cheek?" Actually I had, just very recently, but didn’t know much about it. Now we could tell you ANYTHING and everything you wanted to know about it! Anyway I was told that for the most part it's no big deal but possibly could be for a fetus and to go to my OB for a blood test, but that "odds were in my favor". If I had a nickel for every time I heard from very intelligent doctors and nurses "odds are in your favor" I would not be losing sleep at night over Trev's and my hospital bills, they’d be paid for and then some. After some research on my own, odds should have been in my favor. Basically the odds of passing parvovirus to a fetus are less than 5% and most adults are already immune to it, once you have it you build immunity. Well I did not have immunity to it and the cold I thought I had was actually the parvovirus. The rash doesn't usually appear in adults, most often just cold like symptoms and/or achy joints. The incubation period for parvo is anywhere from 4-21 days before symptoms appear after initial exposure. Some people carry an immunity to it no matter what exposure they’ve had in their life. It’s a very strange with varying degrees of symptoms and longevity, virus. But overall is typically no big deal for anyone but a fetus or possibly someone very old and/or immunocompromised. For a fetus and/or the immunocompromised it can cause anemia. Trevs situation however proved the contagious factor behind parvo is NOT what is most commonly thought to be though. That being it IS still contagious AFTER symptoms may seemingly be gone. Again though I was told "odds were in my favor" even if my baby did get it he or she could just pass the virus and never really be affected to our knowledge but on the off chance I needed a specialized ultrasound by a Perinatologist (a high risk pregnancy doctor) at IMC to know for sure.
This too is where things and the timing of this crazy story get even crazier. First off my blood results took longer than they should have (no one knows why) to get back which postponed "things". Then my doctor told me as long as I was seen within a couple weeks at IMC that should be fine. Well that didn't rest real well with me but initially I took his advice. But when I tried to make an appt. at IMC for sometime in the next 2 weeks for the ultrasound I could not get one for almost 4 weeks! I remember starting to bawl and almost arguing with the receptionist who told me this (she also told me it shouldn't be a big deal and it would be fine to wait that long!) so I called my doctor crying who agreed I needed to be seen well before 4 weeks and I said, “I want and need to be see as soon as possible, period!” So my doctor called for me. IMC hospital still couldn’t get me in as soon as I wanted so the appt. was made for the following Tuesday at LDS hospital. Had I waited and accepted the first appt. time Trev would have died, without a doubt from anyone. Oddly enough though had I been seen too early the virus might have not been detectable in the baby yet. So Dave and I went to LDS hospital September 1 all this had started, the rash on Drake and my “cold”, the initial blood test etc. about the 15th of August.
An incredibly nice radiologist performed the first ultrasound and after about an hour-long very extensive ultrasound everything seemed just fine. Then the radiologist did one final test to check the blood flow in our baby’s head, which would indicate if he was anemic, or not. She left for quite awhile and came back with the Perinatologist, who wanted to double-check everything regardless, but seemed especially concerned. They had yet to tell us anything. This doctor is one of the nicest and most intelligent doctors I've ever met but gave me (the beginning) of the worst news of my life. Which was, "your baby is in fact anemic and seems to have been affected by the parvovirus" SO anemic according to the measurement chart she questioned the accuracy and referred me to her colleagues at IMC for a second opinion first thing the next morning, my birthday.
On September 2 we met another incredibly nice Perinatologist who was baffled too by how anemic our baby was with seemingly no other symptoms. Other symptoms being ‘hydrops’ which are more or less pockets of infection around vital organs. Oh wait yes, toward the end of that appt. there were possibly other symptoms 'hydrops' were possibly starting to show or it may just be a “layer of fat” around the babies stomach. We would need to come back first thing the next morning to know for sure and EVERYDAY there after till we knew just how sick our baby was.
Let me tell you as nice and great as those doctors are there is nothing comforting knowing and being told our baby was "the talk" of ALL the Perinatologists and this was VERY rare for parvovirus to actually affect a fetus especially this severely. I knew that day when that doctor explained the options to us which were; follow the baby with ultrasounds DAILY to see if he could pass the virus himself or do an inutero blood transfusion to correct the anemia if he seems to get sicker. I knew the doctor knew that day our baby would need the transfusion but I could tell he wanted to give Dave and I one more day of hope. Sure enough the next morning Sept. 3 the 'hydrops' were spreading and the baby was very sick and would need the in utero blood transfusion.
Let me say at this point NEVER did I look at this situation from a pessimistic standpoint, I've never prayed, got blessings and "thought positive" so hard in my life but again in the back of my mind I knew something wasn't right. Even the weekend before all these ultrasounds I told Dave numerous times as much as I didn't like admitting it out loud "something isn't right with this baby".
Unfortunately my intuition all along was correct this wasn’t going to be a “normal” pregnancy, my baby was VERY sick and needed an inutero blood transfusion at 6AM Friday morning September 4th.
At 4AM that morning of the 4th I woke up panicked beyond consoling. I had been very calm all week considering and was trying to remain optimistic, but it all hit me at once and I lost it. I'm losing it now just thinking about it. I woke up Dave and said we need to go to the hospital NOW our baby is sick and I cannot feel him moving at all (wow just writing/reflecting about this I am bawling at the horrible feeling I had). Dave's mom was coming to stay with our other kids and my parents were meeting us at the hospital for what should have been, although a daylong but out patient procedure. We called Dave's mom told her we were going now and got there at IMC in record time. We were supposed to go to the Maternal Fetal and Medicine ward for our transfusion at 6AM but being 5AM we had to go to labor and delivery well thankfully we heard Trevs (we didn't know it was Trev at the time) heart rate and he was still in fact alive (although we'd find out in about 3 hours barely alive). Little did I know the nurse with curly brown hair whose name I can't remember who found Trevs heartbeat was one of the first of many nurses I would come to love and appreciate beyond words.
At 6AM we did go upstairs to the Maternal Fetal and Medicine ward and get "checked in" and prepped for the inutero blood transfusion. Although I was ready the transfusion didn't start when it was supposed to due to lab delays and although I had the utmost confidence in the Perinatiologist performing the procedure I remember having a 'strange' feeling that was beyond just nerves however once it got going I did relax a little (Dave admitted to me later he also had a weird feeling). It is a very intense procedure with two Perinatologists sitting on either side of me with ultrasound screens monitoring every move as well as many nurses in the room to help with the very intense, painstakingly, delicate procedure. I was told I was a perfect candidate for this procedure (if there has to be one) and was told just before the procedure started although I'd been given a steroid shot the day before the odds of them having to "take" (deliver) the baby for any reason was LESS THAN 1 PERCENT!!! In a nutshell what happens is they insert a needle into where the umbilical cord and placenta come together and draw some of the babies blood to see just how anemic the baby is then they go in again and transfuse with the amount of blood based off that finding. Well the first part went ok but the second time around it was taking forever to get the needle where it should be. For a baby who a couple hours ago wouldn't move at all suddenly became VERY active. They usually don't have to sedate the baby and told me being the "perfect candidate" they shouldn't have to sedate mine, well he all the sudden was very active and they would need to sedate him! This is where I am not sure what or where or how things went wrong all I know is they finally got the needle where they wanted it and my baby kicked it out! Sothe doctors tried switching places and within seconds pure chaos! JANNELL GET ON YOUR SIDE, GET ON YOUR SIDE, THE BABY DOESEN'T HAVE A HEART BEAT WE NEED TO GO DOWNSTAIRS AND DELIVER IT! A blood clot had formed and stopped the babies heart. The really strange thing about this is they were actually worried if anything he was so anemic his blood wouldn’t clot but the exact opposite happened!
Whew writing that isn't easy for me even with Trev sleeping soundly right now in the next room. I remember saying, "NO NO NO" and being rushed downstairs. Although obviously I went into shock at this point I do remember from a dream like perspective hearing and seeing panic on doctors and nurses faces and running and yelling and bright lights. I remember asking for Dave (who had been in the transfusion room with me but was left behind due to the emergency of the situation) and saying, "are you sure, are you sure. Please no!" I remember the doctor saying," we'll check the babies heart rate one more time," and saying "it's 144, no wait that’s yours the baby still doesn't have one we have to get it out" and then having a 'mask' (to knock me out) put over my face. Let me tell you there is nothing worse than seeing panic on doctor’s faces, nothing!
I woke up after the emergency c-section ON FIRE! I remember saying, "my stomachs on fire, my stomach is on fire, and what was it? (Meaning the baby we did not know before if we were having a boy or girl). I remember seeing a doctor I hadn't seen before and him saying, "a boy" and thinking "hmm really" and then falling back asleep.
I seem to have a very high tolerance for drugs and usually pain (I learned that the hard way with Reese, another crazy story). I woke up before they had a chance to give me any pain medication. For the transfusion I had gotten a 'local' numbing shot for where the needle went in and a mild “relaxer” because I couldn’t quit shaking but nothing otherwise (they were actually about to give me more “relaxer” me when his heart stopped). I was told later I must have woke up very quickly from the emergency c-section because I did wake up still in the delivery room literally feeling like someone was waving a blow torch across my stomach. They were in the process of getting me medicated but more or less I had just had an emergency c-section and could feel exactly how it feels to get your stomach ripped open. Luckily I fell back to sleep quickly. I recall next waking up in another room and finally with my Davey by my side. All I remember though is him telling me he'd just about gotten into a fight (so not Dave) with the blood guy (long crazy story). The nurses had attempted to "gown" Dave so he could be in the delivery room with me but we were on the 2nd floor they had me down on the first floor in labor and delivery and Trev out within 7 minutes! A hospital record (not one I strived to have)! Another crazy thing about his delivery is just the day before the baby had been in an “upright” position and the doctor told me later she was shocked during the delivery he had turned to a “head down” perfect position for delivery. Then all I remember at this point is coming in and out of it and saying over and over "my stomach is on fire". I must have been out of it for quite awhile because the next thing I remember is waking up and seeing my parents, Daves parents, crying and my brothers, Toby and Shane and talk about Kasey being on his way. I was still in a lot of pain and I remember Toby pacing and looking at me with a pained expression on his face and one thing I'll never forget is my brother Shane attempting to comfort me and leaning over me saying, "it's going to be ok, it's ok" I'll never forget that, I remember that very clearly. I remember getting a blessing by Toby. I do recall in addition to saying my stomach is on fire asking over and over "is he ok?" meaning Trev. I remember being told Kasey had given Trev a name and a blessing and had said specifically, "to fight and fight hard for his life." Like I said we didn't know if Trev was a boy or girl (neither did the doctors who delivered him for quite some time due to the rush to save a babies life not see what the gender was) and being only 26 weeks along we had thrown around some names but weren't sure. I knew I wanted a little boys middle name to be Spencer for a couple different reasons (another long story) but we didn't have a first name, we had talked about Trev but were concerned about how it went with Webb but due to the circumstances he needed a name immediately for his blessing and it just seemed right.
I recall being shown a picture of my Trevy for the first time. The staff is amazing and knowing I was in no condition to go see Trev just yet they took a picture of him for me. Amazingly Trev was stable but come to find out was in fact upon delivery more or less dead. He had a hematocrit count of 14! It should be over 40! I think Dave mentioned in another post being told weeks later by a nurse, that was in the delivery room, she didn't think our baby would make it and he was literally the color of snow.
I have never been in so much pain in all my life. I USED to think I had a high pain tolerance. I was told my body was in shock (on all sorts of levels) and due to the nature of the c-section my body wasn't 'ready' for that kind of trauma and I was in the pain to prove it. Honestly I don't recall entirely seeing Trev for the first time, thanks to a morphine drip. I recall wanting to be told over and over he was ok but scared to death to actually see him. I remember laying in my recovery room not wanting to sleep, scared of what I'd 'see' or rather dream about. I remember being scared to death of having a dream about my baby being dead and it being a premonition. I did in fact dream over and over (hallucinate? thanks to the morphine) about hot coals, I am sure stemming from feeling like I was on fire earlier. I am debating about how much to share here but I am going too...In the midst of my 'hot coal' dreams I was awake at times praying (pleading) for comfort (not physical in this regard) and for a split second I saw/dreamed about little baby boy in a white crib dressed in a little red onesie smiling at me. I also recall staring at a "Its a BOY" balloon and having a moment of great comfort in the fact it was a little boy and somehow I knew him and regardless he was mine forever. That first night although distraught beyond words, Dave and I could literally feel the power of prayers, and not ours. I remember Dave saying to me, "can you feel that? I know people are praying for us right now" I could feel it.
I am not going to lie however; those feelings were short lived as I entered into the hardest trial of our life. Never have I felt such despair and pain knowing my baby was having to 'fight for his life". The first few times I saw Trev were hazy and oddly enough I didn't want to see him I just wanted to be told constantly he was fine. Plus it was extremely painful to get in a wheelchair to go see him in the NICU the pain was agonizing on all sorts of levels to do so. I remember telling people very seriously "DO NOT give me odds about his outcome or condition, odds are not in our favor right now". Or actually where they? We may never know in this lifetime.
I remember the nurse who was taking care of Trev one of the first times I saw him, Janet, I love this woman more than I could ever express. I will never be convinced otherwise that this woman isn't and especially for me a God send. Right up until the time we left Janet, who only worked part time and with nurses crazy schedules, she was there EVERY time I was in need of this particular presence she carried and comfort she gave me. I had my first of many "million dollar conversation" with her. I call certain conversations with some of the staff at IMC conversations that brought me comfort I wouldn't trade for a million dollars, no joke.
I don't even know how to describe some of these INCREDIBLE nurses and doctors. No doubt I experienced a fair share I wanted to strangle (even completely forbid from taking care of my baby) but overall I met and bonded with nurses and doctors I'll never forget and didn't even realize people like them existed. Lisa was also one of the first nurses to take care of Trev. I LOVED her still do. Her and I just clicked. Again it’s hard to put into words but the comfort and ease she put me in was priceless to me. Having had babies of her own that were born early and especially her little boys scary incident with surgeries and hospitals, she understood and sympathized with me and always put me at ease. She was very realistic yet optimistic and knew of my fears before I even did sometimes and always made me feel like everything would be fine no matter what. I loved just chatting with her about other things too and I miss her and that very much and I fully intend on working with her someday.
I could go on and on about the people that inspired me and write pages and pages about them and the amazing conversations and comfort they brought me I truly could but I’ll have to try and summarize as best I can. Jill was with me the first time I held Trev and was the nurse who instigated it. I remember crying at Trevs isolette one day and her saying “you need to hold him, that’s all there is to it.” It was quite the process and earlier than I expected to be able to do so and I’ll never forget her for it. She cried right along with me (we always made each other cry) the first time they put Trev (along with a million cords and tubes) in my arms. She was such a strong advocate for Dave and I and we absolutely think the world of her. Holding Trev for the first time was bittersweet and the only thing I could think of was I didn’t dare move and it felt like holding a kitten. I will never forget it.
Dave was the respiratory therapist who was there for that along with Jill and he was a quiet amazing man who you could tell loved his job and had a soft-spoken funny sense of humor. I remember thanking him for helping me hold Trev the first time and him saying seeing a mother hold their baby especially for the first time was the best part about his job.
Georgi was another respiratory therapist who I loved and Trev LOVED, no kidding. Believe it or not a babies saturation levels will improve (go up) on their monitors when their mother comes into the room and in Trevs case whenever Georgi came into the room Trevs readings would heighten and you could tell he knew her and loved her presence.
Its amazing right from the get go a baby knows their mother even when they have yet to be held by them or are hooked to a million monitors and machines, the demeanor of the baby changes when their mother or someone they get to know from the staff enters their room. He would do better too with his respiratory challenges etc. when I was there or certain staff members were with him, it was extremely bittersweet, beings I couldn’t be there all the time. I used to tease certain staff, “can you please just work everyday until Trev goes home?” Stacey was another favorite nurse who really got to know Trev and took incredible care of him. She would always take the time to do cute things to his crib and take pictures of him. It was comforting and fun to be around. Many of the nurses would take pictures of him even make scrapbook pages of him for me. I kind of hate singling people out cause like I said there are so many I think so fondly of and have many dear memories with.
Leanne was another incredible nurse we loved having and was so knowledgeable and amazing to have. I had some great conversations with her I’ll always remember.
There were two Karens I think the world of, one a nurse and one a respiratory therapist. Karen the nurse was with Trev the weekend he was born and again in the end at a crucial time for Dave and I and she was an amazing comfort for us. When Dave and I reached a breaking point she was there to sympathize and literally cried right along with us and for us, we will never forget her or the amazing message she left for us one day when we were having an especially hard time.
Karen the respiratory therapist was another favorite of mine who was very realistic yet optimistic an overall just an amazing woman.
Robert another respiratory therapist who is probably one of the smartest people I’ve ever met. He knows so much about the respiratory system it would blow your mind yet he also knew how to explain it so you could understand. I would save certain questions just for him and get “mad” at him for not working day after day. Dave and I had some great conversations with him and really miss seeing him.
Words cannot describe what it feels like to leave your baby in a hospital but words cannot also describe what it is like to have people who love and take care of your baby when you cannot as thought it were their own. Like I said I had many nurses cry right along with me and therapists and doctors take such great care and concern you’d think they were caring for their own child. There is also a parent support group at the hospital made up of parents whose babies are past and present NICU babies. Having a baby in the NICU and talking to someone else who has had one (or twins or triplets there are lots of those) in the NICU is priceless, truly priceless. People can try to emphathize but when you can actually talk to someone who has been there the bond is instant and unbreakable.
Trish, Cathy, Naomi, Michelle and Drew are only some of the amazing mothers and fathers who “have been there” (or are there) and now spend a great deal of time and effort to provide comfort and support. They take pictures, provide gifts, have scrapbook hour. Every Wednesday they have a night where we can meet, eat, cry, laugh, and share time and information about the trials being the parent of a preemie brings. The educational classes are amazing and priceless as well. They also have stories that make can make Trevs look like a walk in the park. My heart goes out to them especially those mothers whose pregnancies were not easy to come by even impossible and who were often times left fighting for their own lives along with their babies.
My heart goes out to a nurse I (Trev) had only once but who shared a story with me about her little granddaughter who is currently fighting for her little life due to liver issues. I’ll never forget her or the conversation and bond I had with her and will continue to pray for her granddaughter daily. As well as one more nurse who only had Trev once or twice and shared with me she was doing everything she could do have a baby of her own.
Dr. King, Dr Dolcort, and Dr. Beechy will always hold a special place in my heart. I’ll never forget Dr. Kings quiet yet amazing intellect. I “owe” Trevs amazing lung development and turnaround to Dr. Beechy and respect and am in amazement of her beyond words. I’ll never forget the care and concern of Dr. Dolcort, talk about a caring, amazing doctor/man wow! He is also the Dr. who lined us up with Dr. Yaish. Dave and I literally had our jaws hanging open at the intellect of this hematologist from Primary Children’s yet so incredibly humble and caring. Becky(s), Lexi, Stacy, Hillary, Bonnie, Connie, Marie, Natalie, Lin, Amy(s), Michelle, Jen, Kimberley, Whitney, Mark, Sharon, Nurse I can’t for the life of me remember her name but loved who helped with little Trevs last eye exam, the security guard who’d give a friendly knowing nod night after night without another word. Rian and Sarah the nurses I had in the maternity ward who cried right along with me those first couple days and ultimately the first of many who have inspired me to become a nurse myself one day. I probably shouldn’t have named names because I know I’m leaving people out. Lactation consultants, Physical Therapists. Thank you and I love you all.
Truly never have I met so many intelligent, caring, amazing, and compassionate people all in one place. Lisa told me in the beginning something along the lines of actually missing the NICU someday and I remember thinking, “are you kidding?!” But like usual she was right. I defiantly don’t miss leaving my baby night after night anywhere but my arms but I do miss SEVERLY the people and friendships I no longer get to have on a daily basis.
I’m sorry this is so long believe me it could be longer. I am a changed person to say the least. The night I brought Trev home I was sitting alone with him and looked at him and said, “thank you, Buddy, thanks for teaching me the ultimate lesson in gratitude and what’s important in life.” I really did I thanked him over and over this little tiny baby for being such an inspiration in my life and others. For listening to Kasey and fighting so hard to give Dave and I the incredible opportunity to raise him. He has been through more in his short life than most of us can imagine. He had his blood drawn today (for the millionth time) and the courage and strength in his little body and eyes as he barley cries and only flinches for a second, is beyond words. I don’t know how we did it I remember feeling like I was not going to make it through that first week and how on earth was I going to get through the next three months. But because of the prayers and support of the people around us somehow we did.
There were times I recall watching him getting poked and prodded and struggling to just breath that it put my “stomach on fire” pain to shame. The first time I heard his hoarse little cry was the most bittersweet moment in my life. He had been on a ventilator so long (they can’t make audible noise on a vent) that when he finally came off it his little voice was so hoarse. The first time I heard that hoarse little cry I literally had to grip the side of his isolette, turn my head, and squeeze my eyes shut to bear the stabbing pain it brought to my heart. The physical and emotional pain it brings to your heart watching your little baby suffer knowing there is nothing I can do is indescribable. There were more than a few times especially in the beginning it took everything I had not to rip all the wires and tubes out of him and take him and run. It was so difficult knowing if I did that he would die that, that horrible plastic tube going down his throat and all the wires, needles and beeping machines as awful as they seemed were keeping him alive.
Having your little girl so excited about a new baby brother but not being able to see him ripped my heart out too. Dave and I did our best to hide our emotions from Reese and Drake and I explained to them especially her as best I could that “Trevy came out of mama way too early and was very sick and he has to get bigger and better at a special hospital before she could see him or we could bring him home”. I’ve had the amazing opportunity to stay home with my kids and we are typically glued at the hip(s). After I had Trev I actually left the hospital earlier than recommended because as much as I hated leaving my new baby I needed to see my other babies so bad I couldn’t stand it one more day (Reese got fifths disease too, although she never really knew it or noticed, and she still had a little of the rash the week Trev was born so the last place she needed to be was at a hospital full of pregnant women so they were not able to visit even me in the hospital.) At first it was fun to go to the Grandmas and Grandpas and Uncles all the time. I tried my best to divide my time between Reese and Drake and going to the hospital but it became extremely difficult very quick. Especially for my little, smart in tune Reese. She could feel the stress, sadness and tension despite mine and Daves best efforts not to. I finally told her it was ok to cry and be sad our baby was sick but we’d make it and needed to be strong too. She listened and her and Drake and the grandmas and grandpas and help were amazing but it finally got to her by about the end of October. They tell you your baby will typically be in the hospital for however early they were long. So Trev was 3 months early so he’d be in the hospital about 3 months etc. In September I thought I was going to die, by October he was mostly ‘out of the woods’ and I even thought if I can make it to Halloween then we are almost there and we are actually going to get through this. But come Halloween his blood still wasn’t doing what they’d hoped and was leaving intelligent, amazing doctors scratching their heads. As Dave has written about this in other posts I won’t go into too much detail since he has other than I remember thinking ”ok we’ve made it to the end of October and the “light at the end of the tunnel” we thought was there was now in question. I lost it, my strength for enduring this situation was gone. Especially, back to Reese, when I noticed the effects it was having on her. One night I could hear her crying, she had started sleeping with us weeks before but this time she was in her own room at 2am crying by herself. I went in there and asked her what was the matter and she cried, ”I can’t find Trevys blanket!” I about died. I didn’t realize she had started sleeping with a blanket she wanted to give to Trev when he got home but never said much about it and to find her crying in the middle of the night looking for it about killed me. Then about a week later in the midst of not knowing what to do with his blood issues she broke down and told me, “Mama I don’t want Trevy to be born early anymore”. That too caused me to turn my head and squeeze my eyes shut and muster up every ounce of everything I had to keep going.
Luckily, much to our shock it was only about a week later we found out we could in fact take him home even earlier than we’d hoped for originally. That was so funny to be sitting in rounds that day (the nurses, doctors and other medical personnel would “round” each day about the babies and there progress, needs etc.) It had finally been established Trev could be treated for his blood issues on an out patient basis, well I did not realize aside from that he was all but ready to go home. Turns out Dr. Dolcort was talking about his discharge from the NICU along with everyone else for a good 3-4 minutes and I said something about it (taking him home) being in a few weeks and Lisa said to me laughing, “No, no Jannell you’re not listening he means this weekend”. WHAT!!! Last week he was a huge question mark and on deaths door and now he’s going home??? Yep his amazing turnaround was in fact a miracle. Thanks (partly) to Dr. Yaishes knowledge and one more blood transfusion and IVIG treatment his turnaround was a HUGE 360. I say partly because ultimately I know (and there are nurses and doctors who’d wholeheartedly agree) his turnaround and just the fact he is alive at all has way more to do with than just medical technology. I had MANY MANY nurses tell me they don’t know how he is alive and doing as well as he is. How he didn’t have more issues (Trev did not have many of the ‘typical’ preemie issues the doctors and nurses thought he would have) and what a miracle baby he is.
I know some of the decisions Dave and I made just in the last few years have blessed us beyond comprehension. I also know without the prayers, blessings, fastings and support of family, friends and neighbors he would not be here today. Trev has taught me more about gratitude and about what really matters in life and the compassion of others more than I could ever truly express. I’ve also learned a great deal of empathy for those of you who’ve been in life changing and/or heart breaking situations especially if the outcome wasn’t so joyous, my heart and prayers go out to you. Thanks to ALL of you more than I could ever express. (I have a list of ‘thank yous’ I WILL write). I especially want to thank Carson and Betsy and little Izzy Denny for lighting the way for us. Thanks to all the people who dedicate their lives to saving my babies and others. Thanks to Brooke and Dr. Smith for listening to me and helping me above and beyond his duties. Thanks to all of you for the gifts (especially an extremely generous one from people in Montana I hardly know and an extremely helpful gift from Emily Stevens), dinners, cleaning, phone calls and offers of help (especially Suzanne). Thanks to all of you for helping and watching Reese and Drake. They were each other’s support and became closer than ever. She is thrilled beyond words to have her new brother home and my boys definetly have 2 mothers. Drake thinks his “TreB” is great too. Thanks mostly to little Trevy for teaching us all valuable lessons especially and including being “an exception” and learning tool in the medical field of parvovirus. My little Trevy is finally asleep at home next to me. Even when he’s not and awake at 12, 3 and 6AM…and I ‘m about to fall over from exhaustion or I think I’m about to go crazy from not being able to leave my house (or not trip over beeping cords) or have two seconds to myself, all I have to do is picture him in his isolette and/or what could have been to recharge and not think twice about any of those things. Thanks to my incredible husband for starting this blog and being my amazing husband, father and best friend. Although there were times the stress would get to us and we’d direct our frustrations at each other I’ll never forget or would change the closeness and strength this situation has brought into our marriage. I remember literally clinging to Dave those first few weeks and not letting him out of my sight. He is an incredible husband, father and man. Trev is here for an extremely special reason. I am thankful beyond words mostly to my Father in Heaven and flattered to say the least that Dave and I get the opportunity to raise him. I made some pretty serious pacts and promises with my Father in Heaven in order to do so and cannot wait to keep them and see him grow and teach us all even more than we’d ever imagined.

Wednesday, November 18, 2009

FOLLOWERS

This has been an amazing journey! It is amazing to see how much this blog has grown. We have received support from so many thru this journey. I want to thank you all, your prayers have been felt and we are grateful! Please stay tuned as Jannell will be posting soon as she can find a moment.

TREVS PRIMARY NURSES


Here are two of the most amazing people in the world! Stacey is in the middle and Jill is on the right. I remember the first time that I met Stacey as she was taking care of our son. It was a very difficult day for me, she was so positive and her personality was so comforting. She loves our little Trev and is an amazing nurse. I can't even begin to explain how thankful that we where when Stacey had our son. I looked forward to hearing her voice and positiveness each morning that I would call in to check on Trev. Jannell and I would be able to relax knowing he was in good hands.
Jill was a great comfort for both Jannell and I, there is something about her personality that was also very comforting. She would take the time to sit down and talk to Jannell and I, she wanted to help us and was always willing to lend an ear. She is an amazing nurse and even more of an amazing person. We are so grateful to have had her as one of our primary nurses. I want to take a moment to thank Jill and Stacey as I know they are following this blog. Our lives have been blessed because of you guys and we are grateful beyond words. Thank you for always being there for us and providing the support that Jannell, Trev and I all needed. We Love you guys and could never put into words our appreciation for you.

TREVS HEALTH




Our little Trev has many outpatient doctor appointments to come. As you all know our son has not been producing Red Blood Cells on his own. The donor transfused RBC's will live for 3 weeks and then they will die, which means that Trev has about 10 days left of donor cells to sustain him. As I posted earlier,Trev did receive the IGIV transfusion with is immunoglobulin therapy that should boost his immune system to help him to produce RBCs. We do not know what his outcome will be, we meet with the Hematologist on Thursday the 19th for further analysis and testing of his RBC's and RETIC count. We are hoping that after Trev received the IGIV therapy that his body kicked in and he began the process of producing RBC's. He may very well need another blood transfusion(s) in the near future, but time will tell. We do know that we are in good hands with Dr. Yahish at Primary's and we will keep you posted on Trevs lab results. Trev also has one eye that is about 98% developed and must be followed up on due to his ROP condition. The outcome of his eye situation is very promising and we are not worried, his other eye is cleared 100%. His eye exam is also on Thursday the 19th and they should be able to give us the immediate results. Please keep our little Trev in your prayers, Thursday is a big day for him, as are the days to come.

PEACE

I think this picture speaks for itself...

FAMILY TOGETHER





Trev is currently 6 lbs. 13 oz. his gestational age is 37 weeks 4 days. He is a cute kid and a extremely mellow baby. The NICU required us to stay in a room at the hospital with Trev alone for four hours. They want to make sure that we can handle all of Trevs needs with wis oxygen, feeding, medication, monitors etc. on our own, well our little Trev put us to the test. About three hours into our stay we were amazed of how well he was doing at such a low flow of oxygen support. Jannell finished feeding Trev and he was sleeping on her lap, all of a sudden Trev started to choke. Jannell and I were panicked, but we had been trained if this was to happen. He was chocking for about 2 minutes and getting very little oxygen. His heart rate on his monitor was dropping extremely low, and he was de stating at a very low number. He started to turn purple and that is when I called the NICU to tell them that our son was choking. They were in our room in less than 15 seconds as they helped us stimulate him and educated us that this is very common in a preemie, that more than likely it will happen again. So far it has happened at least once a day, it is very scary, but we know what to do and we are managing. It is comforting to have his oxygen hooked up to give him an extra boost if he needs oxygen, but it is difficult for me to go to work and leave my wife home alone with Trev knowing that this may happen while I am away. She is a great mom and handles the situation very well.
We graduated our stay and we said our goodbyes, Reese and Drake met us in the hospital lobby, Reese was so excited for this day to come as she had waited 71 days and was dealing with the anxiety of her parents leaving every night, and knowing that her little brother was sick. When Jannell and I saw our kids we both started to cry as we have waited for this day for a long time as well. Reese reacted exactly how Jannell and I imagined, like her mom. She was bursting inside with joy, but does not show emotion on the outside due to being the center of the attention. Drake kept saying that it was his little brother "Treb" and was trying to poke him in the eye. It was snowing extremely hard outside and we were anxious to get him home. My family helped us so much to prepare our home as it was spotless and prepared at our arrival. Reese wants to hold Trev every second, she held him for 90 minutes straight the day he came home. Drake wants to hold him all the time as well, he kisses him all the time and cannot stop touching him. What a blessing it is to have our family together...

AFTER 71 DAYS TREV IS HOME



Jannell and I never thought this day would come, but it is here. Our little guy came home on November 14th, 2009 after 71 miraculous days in the hospital. One of our primary nurses stated to my wife early in Trevs stay at the NICU that "we will miss the NICU when we go home". I remember talking to my wife about this comment, we both agreed that there is no way in the world that we could miss the NICU, we wanted nothing more than to have a healthy son and to be blessed to bring him home. Well, Lisa was right! We miss the staff of the NICU dearly, we developed a relationship was so many at the NICU and we consider them some of our dearest friends. We were deeply saddened knowing that we would not see our dear friends who took such great care of our son. I think it hit me Saturday morning when we went in to go thru the discharge process with our son on saturday morning. I watched Stacey Jackson our primary nurse pick up our son and hold him closely. I could see it in her eyes that she was going to miss him dearly and that she loves him. There were many tears shed as all of our friends greeted us on our way out of the NICU. It has inspired Jannell and I and has shaped our lives in so many ways. Jannell is inspired to be a NICU nurse someday in the future, she would be incredible and can bring a true comfort to so many people with the ability to relate as to what parents will be going thru and to provide comfort. I have been inspired to share my experience with so many! I am planning on volunteering my time with the NICU parent support group who picked me up so many time thru our experience in the NICU. This is the least I can do, I feel honored to help others cope with one of the most difficult experiences they will encounter in their entire lives! Having your child in the NICU is a struggle beyond words, I remember so many days where I had to pick myself up and force myself everyday to function. I drew a lot of my strength from our parent support group. It was comforting beyond words talking with people who could truly relate and understand how you feel. I feel blessed to help others thru there experience for a long time to come.

Thursday, November 12, 2009



THE MIRACLE OF TREVS LIFE

WOW! I do not even know where to start... So much has happened this week, Trev is 6 lbs 7 oz. today, he has graduated to level III feeding, which means he is now required to eat a certain amount to stay on this level, he is doing quite well. His oxygen setting is down to 1/4 of a liter and he will soon be off of oxygen support. We watched our son go thru so much this week. He is truly a miracle! Trev has been so sick, he still has not been able to produce RBC's. They have been pushing him and pushing him for 10 days to see if his body would kick in and produce RBC's. I cannot even begin to explain the pain that Jannell and I have suffered watching our son deteriorate every single day. His hands were as white as paper, I could see all the blood vessels in his little head as he became sicker and sicker. The treatment plan was to us that they need to push his body to the point that he is required to produce RBCs to survive. His Hematocrit got to the low point of 20 on Sunday, it should be above 40! This is extremely low. My little boy is such a fighter, he was so tired and was becoming symptomatic as he was fighting for his little life with every ounce of his body. He was starting to de sat at low levels which he has not suffered from for 3 weeks. Jannell and I have been completely crushed as every second that goes by our sons health deteriorates. Jannell and I left the hospital on saturday night worried sick about Trev, but had an overwhelming feeling that the something else was going on inside his body and the treatment was wrong. We went home and starting searching on the web for answers. Jannells mom sent us an e mail on a disease called Transient aplastic crisis anemia which is caused by ParvovirusB19 "fifth disease" The reason that Trev was born early is because of the development of fluid around his organs (hydrops) due to being exposed to the parvovirus. Trev has received numerous blood transfusions that will sustain him until the donor red blood cells die, but he will not produce RBC's on his own. Jannell and I discovered a treatment called IGG therapy, which is an intravenous administration of immunoglobulins into the blood stream thru a transfusion. We brought this discovery to the attention of the NICU. They told us that Trev does not have the Parvovirus in his system anymore and that it would not be of any use, but Jannell and I disagreed. The NICU staff determined that the reason for his failure to produce RBC's is more than likely not due to Parvovirus because he is not shedding the virus anymore, it only lasts for 2-3 weeks. Trevs condition is so rare, and they could not diagnose why he could not produce RBCs. There is a condition called Chronic Parvovirus that will linger in the body and suppress the bone marrow which disables the bone marrows ability to produce RBC's. We went to the NICU for rounds on Sunday morning again with our researched material. They stated "Trevs crit has dropped to 20 and we want to continue to push him until Wednesday to produce RBCs on his own." They again stated that they do not know why he is not producing, but we need to continue to push him until he produces RBCs on his own. I had an overwhelming feeling that this plan was entirely wrong, I told them that this idea does not make any sense,that we have been pushing Trev beyond his threshold for over a week, and that we need to do something different. They said "ok" what would you like us to do? I stated that they should do a blood transfusion as soon as possible and that I was concerned for his life if they did not. I stated that I have watched him each day become more and more sick and there is something else going on inside his body. They told us that we know our son better than anyone and asked us what we would like them to do? I can't even begin to explain how difficult it is to make a decision of this magnitude and it also struck me with the realization that the NICU staff really was stumped as to how to treat his odd symptoms. We decided to transfuse him that day to boost his crit levels. The NICU staff at IMC is one of the best in the country, but Trevs condition is well beyond "textbook" treatment. I was walking into the NICU on Sunday afternoon to be with my son during his transfusion, my phone rang and it was my wife and she was crying. I asked her what was wrong? She stated to me that she was planning on signing our son Drake up for a Kindermusic class which started in September. At the time she had a feeling for some reason to not sign him up for the class, she informed me that she received an e mail from the Kindermusic class instructor that the entire class has been infected with the H1N1 virus and to not attend the class. We felt so blessed that Jannell followed her instinct and did not sign him up. This could have been devastating if passed to our family and potentially to Trev. I felt an overwhelming feeling of comfort as I looked at the whole picture and this entire experience for the last 10 weeks. I truly believe that everything has happened for a purpose and that Gods hand is watching over him and protecting him. I entered Trevs room, he had an IV inserted into a vein in his forehead as they were just starting his blood transfusion. I picked him up, sat down, and held him for 3 hours. As he laid in my arms sleeping, I watched him slowly start to turn pink and receive all of his color back as his RBCs were boosted with donor cells. The wonderful staff of the NICU set us up with an appointment with Pediatric Hematologist Specialist Dr Yahish. He is a world renown Hematologist who has been practicing for 45 years. He has wrote numerous books and is the most brilliant man I have ever met in my life! We met with him on Tuesday, I remember the sick feeling of helplessness that I felt in my gut on the way to visit Dr Yahish, Jannell and I were extremely concerned for Trevs health. We sat down with Dr. Yahish as he blew us away with his knowledge of blood and the Parvovirus, in fact, he actually knew the man who discovered Parvovirus. Jannell and I took all of our research information of the Transient Aplastic Crisis Anemia as I stated above. My jaw dropped as I listened to this man re-site pretty much word for word all of our research that we performed on the internet, he answered my 3 pages of questions before I could even ask them. He stated that he wanted to see Trevs blood smear as soon as possible to see if Trev is a candidate for IGG therapy. This man has only seen 3-4 cases of Parvovirus in babies and that it is extremely rare. Based off of what we stated to him in regards to our sons condition, he felt that he was more than likely a candidate for this treatment. He stated that in his 45 years, he has never performed a IGG therapy on an infant, but it would not harm him. We left his office overwhelmed with joy knowing that there was now potential hope for our son! I called the NICU immediately, told them the news, and to get the blood smears to Dr. Yahish immediately. Today we received the word that Trev is suffering from the Parvovirus and it is still suppressing his bone marrow and THAT is why he is not producing RBCs. Dr Yahish felt the IGG therapy would benefit Trev, he received the transfusion today.
My wife attended rounds this morning and receive the news of the last thing that I would have ever expected. They stated to Jannell that Trev is doing extremely well, he is eating, growing, not suffering with apnea or de sats and it is time to send him home this weekend on Saturday. Jannell stated to me that she did not understand because she was so shocked, they had to repeat the news to her. To say the least, she was stunned! The staff at the hospital actually chuckled at the shocked look on Jannells face, we have been there for so long we are great friends with all of the NICU staff. They continued to state that Trev is doing so well we cannot keep him here he must go home, they will treat his blood complication as an outpatient at Primary Children's Hospital. OUR SON IS COMING HOME!!!!!!!!! This has been the most difficult/exciting week of my entire life! Complete one extreme to the other to say the least. Trev was on the brink of death and six days later they are stating to us it is time for us to take our son home. Jannell called me and told me the news over the phone. She had to tell me 3 times because I refused to believe her as I am sure you can imagine. He is scheduled for discharge sometime this weekend, we were planning for sometime in December for Trev to come home at the earliest. To be honest we are so caught off guard we do not have anything ready for him. We need to paint his nursery, buy baby supplies, clean, etc. as we prepare for him to come home! I want to mention how grateful that I am for the NICU staff at IMC. Without there care,treatment, and support there is no way that my son born 3 months early would have had a chance at life. The hospital is truly amazing and we feel blessed beyond words for their care of our son. I want to give a special thanks for all the friends that have been praying and fasting for our son. Your support is what has carried us thru this entire experience. I am so grateful to be a member of the Draper 7th ward, the love, support, praying and ward fasting for our family has strengthened us beyond words and I want you to all know that your prayers were felt and you have blessed our lives to a level that I did not know existed. I want to take a moment to mention that we do appreciate all of the support, please understand that when our son comes home that we are under strict regulations to not have visitors. It is the hite of the flu/H1N1/RSV season which would all be detrimental to Trevs health if he was exposed to one of these viruses. I will continue to update blog and be sure to keep everyone informed. THANK YOU ALL! May God bless your lives, as you have ours.

Sunday, November 8, 2009

SICK TREV






Trev is currently 5 lbs. 14 oz. He is still growing very fast. Jannell & I are having a pretty tough time right now. Trev is getting sicker and sicker every day and it is difficult for us to see him this way. Our patience has grown short, we talked the NICU into running a blood test on Trev Friday the 6th. He was scheduled to receive the test on Monday the 8th, but Jannell and I had to know what was going on with his blood. It is so difficult, every test that they run with his blood they have to take about a 1/2 oz. of blood. When he is already having problems producing blood it is hard on him to lose any blood at all. They pricked his heel on Friday night to fill two small vials of blood as I held his hands, I could see in his eyes that he was scared, but that he found comfort in me talking to him and holding his hands as they drew his blood. I will never forget how his face looked that evening while I was holding his hand thru this test. The results came back as expected, his Hematocrit level has dropped to 24 from 27 he is getting more anemic and is not producing RBC's. We are very concerned for him, he is very pale, lethargic and starting to de sat. Monday morning they will run the the same tests to check his Crit levels. Please keep our family and Trev in your prayers, we are staying positive and we know he can get over this hurdle.

Thursday, November 5, 2009

REESE,MOM,TREV


My four-year-old little girl Reese is so excited for Trev to come home. Jannell and I have found her in her play room numerous times playing with babies and wrapping cords and cables around her play dolls pretending that she is taking care of Trev. She wants to see and hold him so much, it is very difficult for us as parents knowing that we cannot let our little girl see her little brother inside the NICU. Reese has already moved her car seat all the way to the back of our 3rd row seat in our SUV because she tells us “Trev is coming home soon and he is going to sit where I sat.”
Tonight as I put my little Reese to bed we talked about Trev. I told her how lucky that we are to have Trev in our family and then I told her that Trev is so brave! She responded with “even braver than me”? I said to her Reese Trev is even braver than dad. I told her that Trev is braver than I will ever be, he has been on this earth for 62 days and he has fought hard for his life each and every single day. I told her that we will live our entire life and never fight as hard as Trev has to live on this earth. It is amazing how much I have learned from I tiny baby that has more strength and courage in 1 oz. of his total body of 2 lbs. 13 oz. which is the weight he was born at than I have in my entire body. What a blessing this has been for me to see what is important in this life and to be so proud of a son that has worked so hard for each and every breath that he takes. I have gained so much strength from my wife, I had no idea that my wife was built with the determination, strength, love and character that I did not know was possible for a human being to possess! She is so beautiful and honestly the best wife and mother that a man could ever even dream of having. We cry together, we laugh together, we are proud together. She never fails to pick me up and keep me on my feet thru this entire trial. She is beautiful and so caring of all of our families needs. I do not have the strength to go thru this and if it were not for the strength of my wife I would not make it thru this test. I love you Jannell thru to my core!!
I told my daughter tonight in her bed that Trev is going to be very special in this life and is going to accomplish amazing things. You do not go thru something like this and pull thru the way he has, unless you are special. I then followed to tell her that I believe that God sent him to us for a reason, and that being Trevs big sister makes her special. She asked me why? I told her because Heavenly Father picked our family special to have Trev and that he prepared our family with you first,” Because Heavenly Father would only give a baby like Trev to a family that had something special. She asked me” what is special about us daddy? I said to her “you are special Reese, and Heavenly Father sent you to us special because Trev needs a special big sister to watch over him as he grows up and Trev and mommy and daddy are so lucky to have you and Drake in our family”. “Trev is very lucky to have a special sister and brother that were hand picked to take care of him.” I want my entire family to know that I AM A LUCKY MAN and I love you all so much!

The Dad

ROP EYE TEST SUCCESS!!



Trev currently weighs 5 lbs. 14 oz. he is 35 weeks 6 days gestation and he has been at the hospital for 62 days now. He is eating so well and continues to grow every day. He is still a sick little boy and has not yet produced red blood cells. It is very hard for us to see him because his skin is so pale from being Anemic. The great news is that his little body is not symptomatic from his Anemia. If he was in dire need of another blood transfusion he would be loosing weight, de sating, not eating well, and up and down on his oxygen needs. He is stable and continues to make progress, they will be performing a test on his blood and liver on Monday to give him a full test to see if there is some underlying issue(s) as to why he is not producing RBCs. For the time being his body needs to continue to fight to try and produce RBCs on its own. You should see him light up when his mom comes into his room, he loves her so much! We received absolutely wonderful news from Trevs eye test on Wednesday. His eyes have developed about 98% and he is showing no signs of complications from ROP. This is a HUGE relief off of our shoulders as this has been weighing very heavy on our minds. (ROP is a condition where in severe cases the blood vessel development of the eye can detach the retina causing complete blindness.) Jannell called to tell me the results after his eye test and I did not believe her, she had to tell me three times, then we both starting crying.. Trev is such a stud and he is doing very well. The ability for Trevs little body to produce RBCs is the last big hurdle and we know he can do it! We love you Trev.

Tuesday, November 3, 2009

BATH TIME


Trev seems to love his baths as long as the water is very warm. We love to give him a bath and feed him right after, he always seems to eat so well after his baths. Trev is still not producing Red Blood Cells, the NICU sent a blood smear test to Dr. Hayish at Primarys. He stated that Trevs body is capable of producing red blood cells on its own, but the virus is still overtaking his bone marrow and his RBC production. It is a waiting game, the scary part is that his Hematocrit levels continue to drop, they are keeping a close eye on him to make sure that he does not become too sick before they treat him with an additional blood transfusion. They want to stall on a blood transfusion as long as possible due the the risk of the procedure, and to avoid creating a more difficult situation for Trevs body that will continue to rely on the blood transfusions to produce his RBCs. Trevs body has to be pushed to see if it will kick into survival mode, right now his body is dependent on transfused RBCs to sustain his required counts. He must start producing on his own, but it is time that will determine when Trev will produce RBCs on his own. He was given an additional shot of Darbopoetin to see if this dose will kick-start his production of RBCs. (This is his 3rd dose of the medication.) Jannell and I are very concerned and worried about this situation, we are hoping to see some progress very soon.

BOTTLE FEEDING


Trev is taking a bottle incredibly well! Tonight he finished his entire bottle of 50ML in 15 minutes! To our knowledge that is the most that he has ever ate at one time. Keep going little stud!!!

TREV AND MOM

Trev is now 5 lbs 10 oz. today. He is doing pretty well, they will be performing Trevs eye test again tomorrow to see the current condition of the ROP that he has developed in his eyes. Tomorrow is a HUGE day for Trev and we are praying for the best outcome possible. Trev has graduated to level 2 feeding and continues to eat very well. He is currently receiving 43ML every 3 hours when he is not breast feeding or taking a bottle.

Saturday, October 31, 2009

I LOVE MOM


Trev is doing pretty well, he currently weighs 5 lbs. 6 oz. and is eating like a champion. He is now taking a bottle and he is able to eat the entire thing. We are so proud of him, He loves when Jannell holds him and burps him in between feedings. (As you can see in the picture) Trev has all the doctors stumped, they cannot figure out why he is not producing any Red Blood Cells. It is a scary situation for Jannell and I, they will be performing some further blood tests on Sunday. The good news is that Trev will be seen by a world renowned Hematologist on Monday. Dr. Ishee is from Jordan, he has treated babies all over the world. We are hoping that he is the answer to our prayers and can provide treatment for little Trev. It is an extremely eerie feeling of complete helplessness when the head Neonatologist tells you that he has no idea why our son is not producing red blood cells and that he has never seen a baby with these rare symptoms before.

Tuesday, October 27, 2009

HURDLES

Trevs time in the NICU has had its ups and downs and all around.(So have Mom & Dad) He has overcome many hurdles as he continues to fight and get strong. He has overcome his Oscillator, Ventilator, PDA (heart condition), Chronic Lung Disease, Phenomena, 5 Blood Transfusions, Jaundice, and so much more. He has some huge hurdles to clear again. Trev has developed a mild case of ROP (Retinopathy of Prematurity). ROP is abnormal vessels that grow over the tissues of the retina. The retina is the light detecting layer of cells at the back of the eye that allows us to see. The good news is that he has the most mild form of the condition and hopefully the veins will regress and his eyes will be perfectly healthy. ROP is caused by pre maturity, blood transfusions and the force of oxygen support into his body. In the most severe cases, ROP can detach the Retina from the eye causing complete blindness. There are treatments for the condition that require laser eye surgery, but we are hoping that his eyes will continue to mature and he will get passed this condition. The doctors are giving us positive response that he will overcome this with maturity. Trev will have an eye exam next week to determine the changes that his condition has made over a two week period. Trev is also not producing Red Blood cells on his own, he still is anemic which is a condition where the number of healthy red blood cells (RBCs) in the blood is lower than normal. RBCs transport oxygen throughout the body, so a shortage of these cells can be serious. He has had five blood transfusions due to his Anemia, his Hematocrit levels (which is the measurement of the red blood cells in the body) is at 32%, idealy the physicians like this number to be above 40%. The good news is that his RBC count is not decreasing, the bad news is that it is not increasing. They have given him two shots of Darbepoetin to try and stimulate the bone marrow to produce RBC's. So far this has not been successful. We are hoping with maturity and time for the Darbepoetin to stimulate his bone marrow he will start to produce on his own. Trev is in many of our family and friends prayers as these are two large hurdles for him to clear. We are optimistic about the outcome and are praying for his health. WE LOVE YOU TREV...

DRESSED AND COZY



Trev just taking it easy after his first bath. He looked so cute all clean..

SWADDLE BATH WITH DAD


Finally we were able to give our son his first bath after 50 days! Dad has been looking forward to this day for a long time. It has turned into a tradition in our family for dad to give our kids there first bath. He loved his swaddle bath at first, but I believe that we waited too long and his water was not warm enough. It was an amazing experience to give him a bath, we will be bathing him about every other day.

TREV, MOM & A WHOLE LOT OF PATIENCE


It continues to be emotionally draining beyond words to have our son in the hospital we are now at 53 days. Now that he is getting older and more stable we want and need to spend even MORE time with him. It is a full time job to fit the entire family into the equation. He loves his mom so much and he knows her very well. He is now to the point that he cries when we put him down, it is so hard to leave him as we wish for this all to come to an end. We are beyond ready to bring our boy home. However I never thought I would see light at the end of the tunnel, but I believe that we are getting closer everyday and we are finally starting to see it.

Trev

My photo
Trev was born on Sept. 4th 2009, He was a big surprise for mom and dad. We are so thankful he is doing well

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